                <div class="form-box"  id="goal_join">
                	<a href="#pop-login" class="sign" id="join_sign_in_ctrl">Sign in</a>
                    <h2>Or, sign up with your email</h2>
                    <div class="hrbox"><label class="check-box check-false" id="common_user_type"><span style="line-height:20px;color:#ff7471">I am a certified fitness,wellness professional</span></label></div>
                     <div class="form-text-box"><span>*</span><b>Email address</b><input type="text" class="text-box275" id="email"/></div>
                     <div class="form-text-box"><span>*</span><b>Enter Password</b><input type="password" class="text-box275" id="password"/></div>
                     <div class="form-text-box" style="display:none"><span style="color:#fff">*</span><b>Paypal email</b><input type="text" class="text-box275" id="paypal_email"/></div>
                     <div class="form-text-box"><span>*</span><b>First name</b><input type="text" class="text-box275" id="firstname"/></div>
                     <div class="form-text-box"><span>*</span><b>Last name</b><input type="text" class="text-box275" id="lastname"/><i>(Only last name initial will show to Public)</i></div>
                     <div class="form-text-box pt20" id="join_gender_block"><span>*</span><b>Gender</b><div class="sel" style="z-index:10"><input type="text"  value="Male" class="text-box100" readonly="readonly" style="cursor:default" id="join_gender_name"/><a href="#" class="next-sel" id="join_gender_list_ctrl"></a><ul class="text-box100 sel-lists-box" style="display:none" id="join_gender_list"><&foreach item=gender from=$gender_list name=gender_list&><&if $gender.gender_name != 'All'&><li id="<&$gender.id&>"><&$gender.gender_name&></li><&/if&><&/foreach&></ul></div></div>
                     <div class="form-submit-box">
                        <input type="hidden" name="join_gender" id="join_gender" value="1"/>
            			<input name="" type="button" value="Create my account" class="submit-this-form leg" id="common_join"/>
            		</div>
                </div>